Pre Authorization Specialist II
RemoteHunter · United States
- Hybrid
- Full-time
- $50,699 / year
- United States
Job highlights
- Verify benefits and obtain pre-authorizations for surgical cases.
- Manage cases and communicate with payers and healthcare offices.
- Utilize advanced Microsoft Office and database skills for documentation.
- Provide excellent customer service in a remote call center.
- Improve processes and meet performance metric standards.
About the role
About the Opportunity
The Pre-Authorization Specialist II performs advanced benefit verification and pre-authorization functions with insurance carriers for new pre-surgical cases within an established time frame. This role supports pre-surgical case submissions to the Pre-Authorization Support Department and follows a remote work model.Responsibilities
- Answer incoming calls through the toll-free Pre-Authorization Support ACD and handle calls/cases appropriately
- Perform benefit verification, pre-surgical authorization, and appeals by working with all payers
- Use advanced Microsoft Office and database management skills to document case status, actions, and outcomes
- Communicate and build relationships with healthcare professional offices and sales representatives regarding case inquiries
- Notify appropriate internal departments of relevant information including complaint handling and adverse event notifications
- Apply advanced customer service skills to engage with customers, sales representatives, and team members in a call center environment to expedite case processing
- Maintain current metric standards
- Provide support to internal teams, healthcare professional offices, and sales representatives
- Suggest and evaluate continuous process improvements
- Coordinate with lead and supervisor on complicated cases
Requirements
- 1 to 2 years of experience with a High School Diploma or equivalent experience, training, or apprenticeships
Compensation
- Minimum salary $37,544
- Maximum salary $63,856
- Compensation varies based on location, experience, education, licensure, certifications, and organizational needs
- Non-exempt hourly roles may include variable compensation such as overtime, shift differential, and annual bonus target (subject to eligibility)
- Exempt roles may include variable compensation such as annual bonus target and long-term incentives (subject to eligibility)
Note
RemoteHunter is not the Employer of Record (EOR) for this role. Our purpose in this opportunity is to connect exceptional candidates with leading employers. We help job seekers worldwide discover roles that match their goals and guide them to complete their full application directly through the hiring company’s career page or ATS.Key skills/competency
- Pre-Authorization Specialist
- Benefit Verification
- Insurance Carriers
- Pre-surgical Cases
- Case Management
- Customer Service
- Microsoft Office
- Database Management
- Process Improvement
- Healthcare Professionals
Skills & topics
- Pre Authorization Specialist
- Benefit Verification
- Authorization Specialist
- Healthcare Administration
- Medical Billing
- Insurance Verification
- Remote Work
- Call Center
- Customer Service
- Medical Office
How to get hired
- Tailor your resume: Highlight your 1-2 years of experience in pre-authorization, benefit verification, and customer service.
- Emphasize skills: Showcase your proficiency in Microsoft Office, database management, and communication.
- Address requirements: Clearly state your High School Diploma or equivalent experience.
- Showcase customer service: Detail your ability to engage with diverse stakeholders in a call center environment.
- Prepare for remote work: Demonstrate your self-management and communication skills for a remote role.
Technical preparation
Master Microsoft Office Suite features.,Practice database entry and management.,Understand healthcare insurance terminology.,Familiarize with ACD systems.
Behavioral questions
How do you handle high-volume calls?,Describe a complex case you managed.,How do you ensure accuracy in documentation?,How do you handle difficult customers?
Frequently asked questions
- What are the key responsibilities of a Pre Authorization Specialist II at RemoteHunter?
- The Pre Authorization Specialist II at RemoteHunter is responsible for performing advanced benefit verification and pre-authorization for pre-surgical cases, managing case documentation, communicating with insurance carriers and healthcare professionals, and contributing to process improvements, all within a remote work setting.
- What qualifications are needed to become a Pre Authorization Specialist II?
- To qualify for the Pre Authorization Specialist II role, you typically need 1 to 2 years of relevant experience along with a High School Diploma or equivalent. Proficiency in Microsoft Office and database management is also crucial, alongside strong customer service skills.
- Is the Pre Authorization Specialist II position fully remote?
- Yes, the Pre Authorization Specialist II position operates under a remote work model, allowing you to perform your duties from a remote location. This means you can work from home or any suitable remote environment.
- How does compensation work for the Pre Authorization Specialist II role?
- Compensation for the Pre Authorization Specialist II role ranges from a minimum of $37,544 to a maximum of $63,856 annually. The exact salary depends on factors like location, experience, education, and certifications. Specific compensation structures may vary for non-exempt and exempt roles.
- What kind of experience is most valuable for a Pre Authorization Specialist II application?
- For a Pre Authorization Specialist II role, experience in benefit verification, pre-authorization processes, and working with insurance carriers is highly valuable. Additionally, demonstrated skills in customer service, Microsoft Office, and database management within a call center or healthcare administrative setting are beneficial.
- Does RemoteHunter hire directly for the Pre Authorization Specialist II role?
- RemoteHunter acts as a connector for this Pre Authorization Specialist II opportunity. They are not the Employer of Record but help exceptional candidates find and apply for roles directly with leading employers through their career pages or ATS.